Organization Active NPI

Weber Pain Specialists

  • Anesthesiology Physician
  • Ogden, UT
National Provider Identifier
1215488523
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
59687241205 Issued in UT
Legal business name
WEBER PAIN SPECIALISTS
Practice address
5782 S 500 E
Ogden, UT 84405-6947
Phone
(801) 564-4967
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Travis Slade, M.D.
Title
Owner
Phone
(801) 660-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 59687241205 UT Primary

Addresses

Primary practice location

5782 S 500 E
Ogden, UT 84405-6947

Mailing address

5782 S 500 E
Ogden, UT 84405-6947
Phone (801) 564-4967

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1215488523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056947",
            "telephone_number": "801-564-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056947",
            "telephone_number": "801-564-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER PAIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-660-7010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "59687241205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.